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'''Shubulade Smith''' {{post-nominals|country=GBR|CBE}} is a British academic and consultant psychiatrist. She is a senior lecturer at [[King's College, London]] and co-director of the university's Forensic Mental Health Teaching Unit.<ref>{{cite web|url=https://kclpure.kcl.ac.uk/portal/shubulade.smith.html|title=Shubulade Smith|publisher=King's College, London|accessdate=13 February 2019}}</ref><ref>{{cite web|url=http://sloanecourtclinic.com/cv_SS.php|title=Shubulade Smith|publisher=Sloane Court Clinic|accessdate=13 February 2019}}</ref>
'''Shubulade Smith''' {{post-nominals|country=GBR|CBE}} (full name Shubulade Mary Eniola Smith) is a British academic and consultant psychiatrist at the South London and Maudsley NHS Foundation Trust. She is a senior lecturer at [[King's College, London]]and co-director of the university's Forensic Mental Health Teaching Unit.<ref>{{cite web|url=https://kclpure.kcl.ac.uk/portal/shubulade.smith.html|title=Shubulade Smith|publisher=King's College, London|accessdate=13 February 2019}}</ref><ref>{{cite web|url=http://sloanecourtclinic.com/cv_SS.php|title=Shubulade Smith|publisher=Sloane Court Clinic|accessdate=13 February 2019}}</ref><ref>{{cite web |title=Dr Shubulade Smith awarded Psychiatrist of the Year |url=https://www.slam.nhs.uk/media/news/dr-shubulade-smith-awarded-psychiatrist-of-the-year |website=slam.nhs.uk |publisher=SLAM NHS |accessdate=22 June 2020}}</ref>


==Early life and education==
==Early life and education==
Line 6: Line 6:


==Career==
==Career==
Smith joined the South London and Maudsley NHS Foundation Trust in September 1999 as a consultant psychiatrist.<ref name=linked/> In July 2004 she also became a clinical senior lecturer at the Institute of Psychiatry.<ref name=linked/>
Smith joined the South London and Maudsley NHS Foundation Trust in September 1999 as a consultant psychiatrist.<ref name=linked/> In July 2004 she also became a clinical senior lecturer at the Institute of Psychiatry.<ref name=linked/> In February 2020, Smith became Clinical Director for the NCCMH (National Collaborating Centre for Mental Health), a collaboration between the Royal College of Psychiatrists and University College London that works to improve mental health services and rectify inequalities in mental health. <ref>{{cite web |title=About the NCCMH |url=https://www.rcpsych.ac.uk/improving-care/nccmh/about-us |website=rcpsych.ac.uk |publisher=Royal College of Psychiatrists |accessdate=22 June 2020}}</ref>


==Research==
==Research==
Smith has always focused on academics, including research into the hormonal and reproductive effects of antipsychotic medications, the effect of vitamin D in reducing psychosis, and in particular, the mental health issues of those in minority ethnic groups <ref name="lancet" />. Smith has campaigned for a better understanding of mental health issues, and has raised awareness about racism in healthcare. Smith believed this why there are generally a higher proportion of black people detained under the mental health service, but added "psychiatry is not where the problem starts".<ref name=bbc>{{cite news|url=http://news.bbc.co.uk/1/hi/programmes/newsnight/6678369.stm|title=Race row in mental health service|work=BBC Newsnight|date=21 May 2007|accessdate=13 February 2019}}</ref>
Smith has always focused on academics, including research into the hormonal and reproductive effects of antipsychotic medications, the effect of vitamin D in reducing psychosis, and in particular, the mental health issues of those in minority ethnic groups <ref name="lancet" />. Recently, Smith published a paper highlighting how almost half the explanations given for higher rates of detention in Black people are unsupported by evidence and are based on cultural stereotypes and assumptions. She says, "Future research should avoid cultural stereotypes and assumptions, and amalgamation of ethnic groups should be discouraged to better inform policy and practice." <ref>{{cite journal |title=Ethnic variations in compulsory detention under the Mental Health Act: a systematic review and meta-analysis of international data |journal=The Lancet |date=March 4th 2019 |volume=6 |issue=4 |pages=305-317 |doi=https://doi.org/10.1016/S2215-0366(19)30027-6 |url=https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(19)30027-6/fulltext |accessdate=22 June 2020}}</ref> Smith has campaigned for a better understanding of mental health issues, and has raised awareness about racism in healthcare. Smith believed this why there are generally a higher proportion of black people detained under the mental health service, but added "psychiatry is not where the problem starts".<ref name=bbc>{{cite news|url=http://news.bbc.co.uk/1/hi/programmes/newsnight/6678369.stm|title=Race row in mental health service|work=BBC Newsnight|date=21 May 2007|accessdate=13 February 2019}}</ref> Smith's research into the short term management of violent behaviour and reducing forced injection during restraint has been adopted as part of national guidance and now forms part of the recommendations for Rapid Tranquillisation in the recent NaPICU/BAP guidelines. <ref>{{cite web |title=NEW! Joint BAP NAPICU evidence based guidelines for the clinical management of acute disturbance (de-escalation and rapid tranquillisation) |url=https://napicu.org.uk/new-joint-bap-napicu-evidence-based-guidelines-for-the-clinical-management-of-acute-disturbance-de-escalation-and-rapid-tranquillisation/ |website=napicu.org.uk |publisher=napicu |accessdate=22 June 2020}}</ref>


In 2015, she led an inquest into the suicide of a woman in [[Pembrokeshire]] three years earlier, saying that a better understanding of mental health issues may have prevented this.<ref>{{cite news|url=https://www.bbc.co.uk/news/uk-wales-south-west-wales-31557866|title=Grieving mother's suicide due to 'personality disorder'|work=BBC News|date=20 February 2015|accessdate=13 February 2019}}</ref> She has said that "most people with psychosis are not violent" and other factors from growing up make them violent, as she saw with classmates. Smith would like "a bigger sociopolitical response" to the problems and concerns with mental health, how it affects families, and how important it is to treat any issues early.<ref name=lancet/> She is concerned that people with severe mental illness (SMI) will die around 15 to 20 years earlier than the general population.<ref>{{cite web|url=https://www.healthcareconferencesuk.co.uk/news/dr-shubulade-smith-speaks-on-the-impact-of-psychotropic-medications-on-the-physical-health-of-those-with-serious-mental-health-conditions|title=Dr Shubulade Smith Speaks on the impact of psychotropic medications on the physical health of those with serious mental health conditions|publisher=Health Care Conferences|accessdate=14 February 2019}}</ref>
In 2015, she led an inquest into the suicide of a woman in [[Pembrokeshire]] three years earlier, saying that a better understanding of mental health issues may have prevented this.<ref>{{cite news|url=https://www.bbc.co.uk/news/uk-wales-south-west-wales-31557866|title=Grieving mother's suicide due to 'personality disorder'|work=BBC News|date=20 February 2015|accessdate=13 February 2019}}</ref> She has said that "most people with psychosis are not violent" and other factors from growing up make them violent, as she saw with classmates. Smith would like "a bigger sociopolitical response" to the problems and concerns with mental health, how it affects families, and how important it is to treat any issues early.<ref name=lancet/> She is concerned that people with severe mental illness (SMI) will die around 15 to 20 years earlier than the general population.<ref>{{cite web|url=https://www.healthcareconferencesuk.co.uk/news/dr-shubulade-smith-speaks-on-the-impact-of-psychotropic-medications-on-the-physical-health-of-those-with-serious-mental-health-conditions|title=Dr Shubulade Smith Speaks on the impact of psychotropic medications on the physical health of those with serious mental health conditions|publisher=Health Care Conferences|accessdate=14 February 2019}}</ref>

Smith also campaigns for better resourcing of mental health services, noting that austerity measures have likely been associated with increases in mental health crises and involuntary admissions. <ref>{{cite journal |title=Reasons behind the rising rate of involuntary admissions under the Mental Health Act (1983): Service use and cost impact |journal=International Journal of Law and Psychiatry |date=13 December 2019 |volume=68 |doi=https://doi.org/10.1016/j.ijlp.2019.101506 |url=https://www.sciencedirect.com/science/article/pii/S0160252719300494 |accessdate=22 June 2020}}</ref> Smith has also been involved in modernising the Mental Health Act. The recommendations in the report "Reasons behind the rising rate of admissions under the Mental Health Act" have been reviewed by the central government and the recommendations of the MHARAC (Mental Health of African and Caribbean) group have been adopted by the Cabinet Office. The Mental Health Act White Paper is currently in preparation based on the recommendations of the Independent Review, of which Smith was the deputy chair. <ref>{{cite web |title=Modernising the Mental Health Act – final report from the independent review |url=https://www.gov.uk/government/publications/modernising-the-mental-health-act-final-report-from-the-independent-review |website=www.gov.uk |publisher=Department of Health and Social Care |accessdate=22 June 2020}}</ref>


==Selected publications==
==Selected publications==

Revision as of 22:37, 22 June 2020

Shubulade Smith CBE (full name Shubulade Mary Eniola Smith) is a British academic and consultant psychiatrist at the South London and Maudsley NHS Foundation Trust. She is a senior lecturer at King's College, Londonand co-director of the university's Forensic Mental Health Teaching Unit.[1][2][3]

Early life and education

Smith grew up in Manchester. Her close contact with a wide range of families of different class and stature led her to try and better understand human interaction, including violence, physical problems in mental illness, and the effects of antipsychotic drugs.[4][5] She graduated from St Thomas Aquinas High School, Manchester, and entered Guy's Hospital Medical School in 1985, earning her Bachelor of Medicine, Bachelor of Surgery (MBBS) in 1991.[6]

Career

Smith joined the South London and Maudsley NHS Foundation Trust in September 1999 as a consultant psychiatrist.[6] In July 2004 she also became a clinical senior lecturer at the Institute of Psychiatry.[6] In February 2020, Smith became Clinical Director for the NCCMH (National Collaborating Centre for Mental Health), a collaboration between the Royal College of Psychiatrists and University College London that works to improve mental health services and rectify inequalities in mental health. [7]

Research

Smith has always focused on academics, including research into the hormonal and reproductive effects of antipsychotic medications, the effect of vitamin D in reducing psychosis, and in particular, the mental health issues of those in minority ethnic groups [4]. Recently, Smith published a paper highlighting how almost half the explanations given for higher rates of detention in Black people are unsupported by evidence and are based on cultural stereotypes and assumptions. She says, "Future research should avoid cultural stereotypes and assumptions, and amalgamation of ethnic groups should be discouraged to better inform policy and practice." [8] Smith has campaigned for a better understanding of mental health issues, and has raised awareness about racism in healthcare. Smith believed this why there are generally a higher proportion of black people detained under the mental health service, but added "psychiatry is not where the problem starts".[9] Smith's research into the short term management of violent behaviour and reducing forced injection during restraint has been adopted as part of national guidance and now forms part of the recommendations for Rapid Tranquillisation in the recent NaPICU/BAP guidelines. [10]

In 2015, she led an inquest into the suicide of a woman in Pembrokeshire three years earlier, saying that a better understanding of mental health issues may have prevented this.[11] She has said that "most people with psychosis are not violent" and other factors from growing up make them violent, as she saw with classmates. Smith would like "a bigger sociopolitical response" to the problems and concerns with mental health, how it affects families, and how important it is to treat any issues early.[4] She is concerned that people with severe mental illness (SMI) will die around 15 to 20 years earlier than the general population.[12]

Smith also campaigns for better resourcing of mental health services, noting that austerity measures have likely been associated with increases in mental health crises and involuntary admissions. [13] Smith has also been involved in modernising the Mental Health Act. The recommendations in the report "Reasons behind the rising rate of admissions under the Mental Health Act" have been reviewed by the central government and the recommendations of the MHARAC (Mental Health of African and Caribbean) group have been adopted by the Cabinet Office. The Mental Health Act White Paper is currently in preparation based on the recommendations of the Independent Review, of which Smith was the deputy chair. [14]

Selected publications

  • Smith, Shubulade; O'Keane, Veronica; Murray, Robin (2002). "Sexual dysfunction in patients taking conventional antipsychotic medication". British Journal of Psychiatry. 181: 49–55. doi:10.1192/bjp.181.1.49. PMID 12091263.
  • Meaney, AM; et al. (2004). "Effects of long-term prolactin-raising antipsychotic medication on bone mineral density in patients with schizophrenia". British Journal of Psychiatry. 184 (6): 503–508. doi:10.1192/bjp.184.6.503. PMID 15172944.
  • Smith, S; Yeomans, D; Busche, CJ; et al. (2007). "A well-being programme in severe mental illness. Reducing risk for physical ill-health: A post-programme service evaluation at 2 years". Eur. Psychiatry. 22 (7): 413–418. doi:10.1016/j.eurpsy.2007.07.002. PMID 17765483.
  • Smith, SM (2010). "Gender differences in antipsychotic prescribing". International Review of Psychiatry. 22 (5): 472–484. doi:10.3109/09540261.2010.515965. PMID 21047160.

References

  1. ^ "Shubulade Smith". King's College, London. Retrieved 13 February 2019.
  2. ^ "Shubulade Smith". Sloane Court Clinic. Retrieved 13 February 2019.
  3. ^ "Dr Shubulade Smith awarded Psychiatrist of the Year". slam.nhs.uk. SLAM NHS. Retrieved 22 June 2020.
  4. ^ a b c Kirby, Tony (August 2016). "Shubulade Smith: seeing the bigger picture" (Document). The Lancet Psychiatry. {{cite document}}: Unknown parameter |accessdate= ignored (help); Unknown parameter |pmid= ignored (help); Unknown parameter |url= ignored (help)
  5. ^ Smith, Shubulade; O'Keane, Veronica; Murray, Robin (2002). "Sexual dysfunction in patients taking conventional antipsychotic medication". British Journal of Psychiatry. 181: 49–55. doi:10.1192/bjp.181.1.49. PMID 12091263.
  6. ^ a b c "Shubulade Smith". LinkedIn. 2019. Retrieved February 14, 2019.
  7. ^ "About the NCCMH". rcpsych.ac.uk. Royal College of Psychiatrists. Retrieved 22 June 2020.
  8. ^ "Ethnic variations in compulsory detention under the Mental Health Act: a systematic review and meta-analysis of international data". The Lancet. 6 (4): 305–317. March 4th 2019. doi:https://doi.org/10.1016/S2215-0366(19)30027-6. Retrieved 22 June 2020. {{cite journal}}: Check |doi= value (help); Check date values in: |date= (help); External link in |doi= (help)
  9. ^ "Race row in mental health service". BBC Newsnight. 21 May 2007. Retrieved 13 February 2019.
  10. ^ "NEW! Joint BAP NAPICU evidence based guidelines for the clinical management of acute disturbance (de-escalation and rapid tranquillisation)". napicu.org.uk. napicu. Retrieved 22 June 2020.
  11. ^ "Grieving mother's suicide due to 'personality disorder'". BBC News. 20 February 2015. Retrieved 13 February 2019.
  12. ^ "Dr Shubulade Smith Speaks on the impact of psychotropic medications on the physical health of those with serious mental health conditions". Health Care Conferences. Retrieved 14 February 2019.
  13. ^ "Reasons behind the rising rate of involuntary admissions under the Mental Health Act (1983): Service use and cost impact". International Journal of Law and Psychiatry. 68. 13 December 2019. doi:https://doi.org/10.1016/j.ijlp.2019.101506. Retrieved 22 June 2020. {{cite journal}}: Check |doi= value (help); External link in |doi= (help)
  14. ^ "Modernising the Mental Health Act – final report from the independent review". www.gov.uk. Department of Health and Social Care. Retrieved 22 June 2020.
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